Transcript www.sdu.nhs.uk www.sdu.nhs.uk - Sustainability West Midlands

Local Health and Wellbeing in a Changing Climate
Building Preparedness for People, Services and Communities
Building Climate Change
Adaptation into Joint Strategic
Needs Assessment
Dr David Pencheon, Director
Sustainable Development Unit
Local Health and Wellbeing in a
Changing Climate
www.sdu.nhs.uk
5 Objectives
1. Background to SDU - context
2. Engaging people in the health/care system
–
Adaptation, climate change, resilience, co-benefits for
patients/populations, “entry points”
3. What is adaptation / resilience and why address them?
–
Ensuring we fulfil our duty in light of the science – IPCC – and the
law - Climate Change Act 2008, Civil Contingencies Act 2004...
4. The important role for HWBs, JSNAs, Joint HWB Strategy
5. Data requirements and guidance/tools for action:
–
–
Public Health Outcome Framework, Adaptation Reporting Power
UKCIP, SDMP, GCC, Adaptation guidance (+ example), integrated
reporting
www.sdu.nhs.uk
Why do healthcare organisations take action
on climate change and sustainability (e.g.
adaptation) seriously?
1. Save money
2. Comply with regulation (Climate Change Act
2008, Civil Contingencies Act 2004 )
3. Improve resilience
4. Enhance reputation / exemplary action
5. Scrutiny in the face of the science and law
6. Improve health, reduce inequalities
www.sdu.nhs.uk
What is adaptation?
1. Adaptation is preparing and responding to
both the current and future and impacts of
(climate) change.
2. Adaptation addresses consequences of
unsustainable systems (mitigation
addresses causes...). BOTH need
addressing.
3. Adaptation = managing the unavoidable.
4. Mitigation = avoiding the unmanageable.
www.sdu.nhs.uk
What is resilience?
• The ability to cope well with sudden,
undesirable, and unpredictable events
and maintain business continuity, and
learn.
• Beware ignoring slow motion crises that
increase the likelihood of sudden events.
www.sdu.nhs.uk
Two-fold approach to adapting the
health and care system is two-fold:
1. Climate change is negatively impacting the health
and wellbeing of the UK population. The health
system needs to be prepared for different volumes
and patterns of demand.
2. Climate change is impacting the operational
delivery of the NHS. The health system
infrastructure (buildings, emergency services
vehicles, models of care) and supply chain (e.g.
fuel, food) need to be prepared for, and be
resilient to, adverse weather events.
www.sdu.nhs.uk
“Failure to adapt causes illness and death
directly and…
www.sdu.nhs.uk
…and indirectly….”
www.sdu.nhs.uk
The time to adapt is now
Between 30,000
and 60,000
people died
prematurely as a
result of Europe’s
heat wave in
2003 in France1
1. Unprecedented heat-related deaths during the 2003 heat
wave in Paris: consequences on emergency departments
Jean-François Dhainaut, Yann - Erick Claessens, Christine
Ginsburg, and Bruno Riou.
Crit Care. 2004; 8(1): 1–2.
Published online 2003 December 4. doi: 10.1186/cc2404.
and Bhattacharya, S. (October 2003), ‘European heat wave
caused 35,000 deaths’, The New Scientist.
http://www.newscientist.com/article/dn4259
www.sdu.nhs.uk
Sudden events
cause unnecessary
deaths due to poor
planning and
cooperation.
Sudden events can
change practice and
policy
(but not always,
and not
automatically).
www.sdu.nhs.uk
Health co-benefits:
“What is good for addressing climate change and creating a
sustainable world......is ALSO good for health (and healthcare) NOW”
1. For the public’s health and well being*
– More physical activity, better diet, improved mental health,
less road trauma, improved air quality, less obesity/
heart disease/cancer, more social
inclusion/cohesion...locally and globally....
2. For the operational delivery of health/social care
– More prevention, care closer to home, more empowered /
self care, better use of drugs, better use of information
and IT, fewer unnecessary admissions, better
models of care…
www.sdu.nhs.uk
www.sdu.nhs.uk
Public Health Outcomes Framework
1. Wider determinants of health
2. Health improvement
3. Health protection
3.06 - Public sector organisations with a board
approved sustainable development
management plan (SDMP)
4. Healthcare and premature mortality
•
•
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/Publication
sPolicyAndGuidance/DH_132358
http://www.phoutcomes.info/public-health-outcomes-framework/domain/4
www.sdu.nhs.uk
Adaptation Reporting Power
• The Climate Change Act 2008 introduced
a new power for the Secretary of State to
direct “reporting authorities” (companies
with functions of a public nature: water
energy, health...) to prepare reports on
how they are assessing and acting on the
risks and opportunities from a changing
climate.
www.sdu.nhs.uk
Adaptation to Climate Change
for Health and Social Care
organisations
“Co-ordinated, Resilient,
Prepared”
http://www.sdu.nhs.uk/corporate-requirements/legal-requirements/adaptation.aspx
www.sdu.nhs.uk
Structures:
Systems:
- care closer to home - integrated care - use of third sector,
- better use of ICT - more flexible workforce,
- more empowered patients, service users and public,
- more resilient models of care and prevention.
Adaptation to Climate Change Guidance
•
•
•
•
What will we have to adapt to?
Taking Action
Developing an Adaptation Plan – 5 steps
Risks & Responses
– 1. Infrastructure: 2. Resource use, scarcity
and continuity; 3. Workforce and service
delivery: 4. Social and community impacts:
• Key stakeholders
• Case studies
www.sdu.nhs.uk
www.sdu.nhs.uk
2009 - 2014
www.sdu.nhs.uk
2014 - 2020
www.sdu.nhs.uk
Two core questions:
– Should we widen the scope beyond the NHS
to the wider social care and public health
system?
– Should we widen the approach from carbon
reduction to include other areas of
sustainable development?
www.sdu.nhs.uk
Consultation & Engagement
Respond to
questionnaire online
Engage your organisation,
networks and service users
www.sdu.nhs.uk/sds
29th January 2013 – 31st May 2013
www.sdu.nhs.uk
Building Climate Change
Adaptation into Joint Strategic
Needs Assessment
Dr David Pencheon, Director
Sustainable Development Unit
Local Health and Wellbeing in a
Changing Climate
www.sdu.nhs.uk